Exhausted before periods

[mistygrey]

Hi

I have thyroid and sjogrens diseases but a week before periods start I am floored and can hardly move. The same for a week after my period and have heavy periods on Tranexamic acid for heaviness but Gp has suggested coil or try another Progesterone only pill.

Has anybody had similar experiences with the severe fatigue before periods start and found anything to work treatment wise?

Thank you